Most Relevant Information
Provider Data
NPI Number: | 1003321290 |
Provider Name: | KAITLYN RINKE LCPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 180.011125 |
Most Important Dates
Enumeration Date: | 12/10/2017 |
Last Updated: | 12/10/2017 |
Provider Practice Location
727 E ETNA RD
OTTAWA
IL
613501040
Practice Location Phone/Fax
Phone: | 8154344727 |
Fax: |
Provider Mailing Location
8112 FLAGSTONE ST
JOLIET
IL
604318483
Provider Mailing Phone/Fax
Phone: | 8152740366 |
Fax: |